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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Management of Bell"s palsy: a report of 2 cases
Melissa Rodrigues de Araujo1, Marcelo Rodrigues Azenha, Marcos Maurício Capelari
1Department of oral pathology, Bauru School of Dentistry, University of São Paulo, Porto Velho, RO, Brazil. melissararaujo@hotmail.com
Abstract:
Bell"s palsy is a neuropathy of the peripheral seventh cranial nerve, resulting from traumatic, compressive, infective, inflammatory or metabolic abnormalities or it can be idiopathic. HIV, Epstein-Barr virus and hepatitis B virus have been suspected as initiating organisms, but herpes simplex virus is the most frequently implicated. This report describes 2 cases of Bell"s palsy in children that were managed with antiviral agents. Both patients experienced complete recovery within 28 days; after 1 year follow-up, no recurrence was observed and both patients have normal facial movement. Differential diagnosis is essential to guide the treatment plan in Bell"s palsy. Special attention should be given to children with respect to prescription of medications that can cause important side effects.
Insights
Bell's palsy, a facial nerve disorder, can affect children. Antiviral treatment in two pediatric cases led to complete recovery and normal facial movement, with no recurrence after one year.
Area of Science:
- Neurology
- Virology
- Pediatrics
Background:
- Bell's palsy involves idiopathic or secondary neuropathy of the seventh cranial nerve.
- Herpes simplex virus is frequently implicated in Bell's palsy etiology.
- Pediatric Bell's palsy requires careful diagnosis and management due to potential medication side effects.
Observation:
- Two pediatric cases of Bell's palsy were managed with antiviral agents.
- Both children presented with symptoms of seventh cranial nerve dysfunction.
Findings:
- Complete recovery from Bell's palsy was observed within 28 days in both patients.
- Facial movement returned to normal in both cases.
- No recurrence of Bell's palsy was noted during a one-year follow-up period.
Implications:
- Antiviral therapy may be an effective treatment for Bell's palsy in children.
- Prompt diagnosis and targeted treatment can lead to favorable outcomes.
- Further research into antiviral efficacy for pediatric Bell's palsy is warranted.
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